Active NPI
Katherine Harris Hanson, MSW, LCSWA
- Clinical Social Worker
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P013442
- Practice address
- 1042 Washington St
Raleigh, NC 27605-1258 - Phone
- (910) 264-4180
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P013442 | NC | Primary |
Addresses
Primary practice location
1042 Washington St
Raleigh, NC 27605-1258
Mailing address
5056 Edwards Mill Rd Apt D
Raleigh, NC 27612-4424
Phone (910) 264-4180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200624002345 | NC | Practitioner - Clinical Social Worker | 4486076288 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Carolina Therapy Professionals PLLC
Practice addresses (Care Compare)
3326 Durham Chapel Hill Blvd
Suite 130B
Durham, NC 27707-6244
Phone (919) 267-1661
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P013442 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clare a. Stadlen, LCSW, PLLC | Clinical | Current | Accepting new patients |
| North Carolina Therapy Professionals, PLLC | Clinical | Current | Accepting new patients |
Locations
2310 S Miami Blvd
Ste 236
Durham, NC 27703
Phone (919) 602-6766
3326 Durham Chapel Hill Blvd
Ste 130B
Durham, NC 27707
Phone (919) 267-1661
3622 Lyckan Pkwy
Ste 3002
Durham, NC 27707
Phone (919) 602-6766
1042 Washington St
Raleigh, NC 27605
Phone (919) 608-0398
5002 Randall Pkwy
Ste 101
Wilmington, NC 28403
Phone (607) 483-3673
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Durham, NC
- NPI 1386393775
Clinical, NC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1992331904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5056 EDWARDS MILL RD APT D",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276124424",
"telephone_number": "910-264-4180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 WASHINGTON ST",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276051258",
"telephone_number": "910-264-4180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANSON",
"first_name": "KATHERINE",
"middle_name": "HARRIS",
"credential": "MSW, LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P013442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.